Function of interleukin-17 and -35 in the blood of patients with hepatitis B-related liver cirrhosis

Mol Med Rep. 2015 Jan;11(1):121-6. doi: 10.3892/mmr.2014.2681. Epub 2014 Oct 16.

Abstract

Intrahepatic T helper (Th)17 cytokine and serum interleukin (IL)-17 levels in patients with hepatitis B are positively correlated with the progression of liver cirrhosis (LC). IL-35 can significantly inhibit the differentiation of Th17 cells and the synthesis of IL-17. The present study aimed to investigate the function and expression of IL-17 and IL-35 in the blood of patients with hepatitis B‑related LC. The levels of IL-17 and IL-35 in the peripheral blood of 30 patients with chronic hepatitis B (CHB), 79 with LC, 14 with chronic severe hepatitis B (CSHB), and 20 normal controls were detected by ELISA. Quantitative polymerase chain reaction was used to evaluate Epstein-Barr virus-induced gene 3 (EBI3), forkhead box (FOX)P3 and IL-17 mRNA expression levels in peripheral blood mononuclear cells (PBMCs). Western blotting was used to determine protein expression. The liver function of patients and normal controls was measured. EBI3, IL-17 and FOXP3 mRNA expression levels in PBMCs from patients with LC, CHB and CSHB were higher than those in cells from the controls. IL-17 mRNA levels differed significantly according to the Child-Pugh classification and exhibited an upward trend over time in contrast to a downward trend for EBI3 and FOXP3 mRNA. The changes in protein expression in the peripheral blood were consistent with the changes in mRNA expression. Serum IL-17 levels were positively correlated with total bilirubin (TBIL), alanine aminotransferase (ALT) and Child-Pugh grade, and were negatively correlated with albumin. These observed differences were significant. Serum IL-35 levels were negatively correlated with albumin, but not with Child-Pugh grade, ALT and TBIL. IL-17 and IL-35 may be critically involved in the pathogenesis of hepatitis B-related LC.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Forkhead Transcription Factors / genetics
  • Forkhead Transcription Factors / metabolism
  • Gene Expression
  • Gene Expression Profiling
  • Hepatitis B*
  • Hepatitis B, Chronic / complications*
  • Humans
  • Interleukin-17 / blood*
  • Interleukin-17 / genetics
  • Interleukin-17 / metabolism
  • Interleukins / blood
  • Interleukins / genetics
  • Interleukins / metabolism
  • Liver Cirrhosis / blood*
  • Liver Cirrhosis / etiology*
  • Liver Cirrhosis / pathology
  • Male
  • Middle Aged
  • Minor Histocompatibility Antigens
  • Protein Binding

Substances

  • EBI3 protein, human
  • FOXP3 protein, human
  • Forkhead Transcription Factors
  • Interleukin-17
  • Interleukins
  • Minor Histocompatibility Antigens
  • interleukin-35, human